Long-term effect of physical activity counseling on mobility limitation among older people: a randomized controlled study

Minna Regina Mänty; Ari Heinonen; Raija Leinonen; Timo Törmäkangas; Mirja Hirvensalo; Mauri Kallinen; Ritva Sakari; Mikaela B von Bonsdorff; Eino Heikkinen; Taina Rantanen

doi:10.1093/gerona/gln029

Long-term effect of physical activity counseling on mobility limitation among older people: a randomized controlled study

Minna Regina Mänty, Ari Heinonen, Raija Leinonen, Timo Törmäkangas, Mirja Hirvensalo, Mauri Kallinen, Ritva Sakari, Mikaela B von Bonsdorff, Eino Heikkinen, Taina Rantanen

Section of Social Medicine

35 Citations (Scopus)

Abstract

BACKGROUND: Physical activity counseling increases physical activity among older people, but its effectiveness on mobility, that is, maintaining the ability to move independently, is unknown. We studied the effect of physical activity counseling on mobility among older people and evaluated whether counseling-induced benefits persist after cessation of the intervention. METHODS: In a 2-year, single-blinded, randomized controlled study, 632 sedentary participants aged 75-81 years were randomly assigned into the intervention (n = 318) or control (n = 314) group. The intervention group received a single individualized physical activity counseling session with a supportive telephone contact every 4 months for 2 years. The outcome measures-perceived difficulty in advanced (walking 2 km) and basic (walking 0.5 km) mobility-were gathered semiannually during the intervention and the 1.5-year postintervention follow-up. RESULTS: The proportion of participants with difficulties in advanced mobility at the beginning and end of the intervention was 34% and 38%, respectively, in the intervention group. In the control group, the corresponding proportions were 32% and 45%. The treatment effect was significant at the 2-year follow-up (odds ratio [OR] 0.84, 95% confidence interval [CI]: 0.70-0.99; p = .04) and remained significant 1.5 years postintervention (OR 0.82, 95% CI: 0.68-0.99; p = .04). The effect on basic mobility postintervention was parallel but nonsignificant (OR 0.87, CI: 0.69-1.09; p = .22). CONCLUSIONS: Among older people, a single individualized physical activity counseling session with a supportive phone contact every 4 months for 2 years had a positive effect on mobility, an important factor for maintaining independence in the community in old age.

Original language	English
Journal	Journals of Gerontology. Series A: Biological Sciences & Medical Sciences
Volume	64
Issue number	1
Pages (from-to)	83-9
Number of pages	6
ISSN	1079-5006
DOIs	https://doi.org/10.1093/gerona/gln029
Publication status	Published - 2009

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Mänty, M. R., Heinonen, A., Leinonen, R., Törmäkangas, T., Hirvensalo, M., Kallinen, M., Sakari, R., von Bonsdorff, M. B., Heikkinen, E., & Rantanen, T. (2009). Long-term effect of physical activity counseling on mobility limitation among older people: a randomized controlled study. Journals of Gerontology. Series A: Biological Sciences & Medical Sciences, 64(1), 83-9. https://doi.org/10.1093/gerona/gln029

Long-term effect of physical activity counseling on mobility limitation among older people: a randomized controlled study. / Mänty, Minna Regina; Heinonen, Ari; Leinonen, Raija et al.

In: Journals of Gerontology. Series A: Biological Sciences & Medical Sciences, Vol. 64, No. 1, 2009, p. 83-9.

Research output: Contribution to journal › Journal article › Research › peer-review

Mänty, MR, Heinonen, A, Leinonen, R, Törmäkangas, T, Hirvensalo, M, Kallinen, M, Sakari, R, von Bonsdorff, MB, Heikkinen, E & Rantanen, T 2009, 'Long-term effect of physical activity counseling on mobility limitation among older people: a randomized controlled study', Journals of Gerontology. Series A: Biological Sciences & Medical Sciences, vol. 64, no. 1, pp. 83-9. https://doi.org/10.1093/gerona/gln029

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title = "Long-term effect of physical activity counseling on mobility limitation among older people: a randomized controlled study",

abstract = "BACKGROUND: Physical activity counseling increases physical activity among older people, but its effectiveness on mobility, that is, maintaining the ability to move independently, is unknown. We studied the effect of physical activity counseling on mobility among older people and evaluated whether counseling-induced benefits persist after cessation of the intervention. METHODS: In a 2-year, single-blinded, randomized controlled study, 632 sedentary participants aged 75-81 years were randomly assigned into the intervention (n = 318) or control (n = 314) group. The intervention group received a single individualized physical activity counseling session with a supportive telephone contact every 4 months for 2 years. The outcome measures-perceived difficulty in advanced (walking 2 km) and basic (walking 0.5 km) mobility-were gathered semiannually during the intervention and the 1.5-year postintervention follow-up. RESULTS: The proportion of participants with difficulties in advanced mobility at the beginning and end of the intervention was 34% and 38%, respectively, in the intervention group. In the control group, the corresponding proportions were 32% and 45%. The treatment effect was significant at the 2-year follow-up (odds ratio [OR] 0.84, 95% confidence interval [CI]: 0.70-0.99; p = .04) and remained significant 1.5 years postintervention (OR 0.82, 95% CI: 0.68-0.99; p = .04). The effect on basic mobility postintervention was parallel but nonsignificant (OR 0.87, CI: 0.69-1.09; p = .22). CONCLUSIONS: Among older people, a single individualized physical activity counseling session with a supportive phone contact every 4 months for 2 years had a positive effect on mobility, an important factor for maintaining independence in the community in old age.",

author = "M{\"a}nty, {Minna Regina} and Ari Heinonen and Raija Leinonen and Timo T{\"o}rm{\"a}kangas and Mirja Hirvensalo and Mauri Kallinen and Ritva Sakari and {von Bonsdorff}, {Mikaela B} and Eino Heikkinen and Taina Rantanen",

note = "Keywords: Activities of Daily Living; Aged; Aged, 80 and over; Attitude to Health; Directive Counseling; Disability Evaluation; Exercise Therapy; Female; Follow-Up Studies; Humans; Male; Mobility Limitation; Motor Activity; Questionnaires; Retrospective Studies; Single-Blind Method; Time Factors",

year = "2009",

doi = "10.1093/gerona/gln029",

language = "English",

volume = "64",

pages = "83--9",

journal = "Journals of Gerontology. Series A: Biological Sciences & Medical Sciences",

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TY - JOUR

T1 - Long-term effect of physical activity counseling on mobility limitation among older people: a randomized controlled study

AU - Mänty, Minna Regina

AU - Heinonen, Ari

AU - Leinonen, Raija

AU - Törmäkangas, Timo

AU - Hirvensalo, Mirja

AU - Kallinen, Mauri

AU - Sakari, Ritva

AU - von Bonsdorff, Mikaela B

AU - Heikkinen, Eino

AU - Rantanen, Taina

N1 - Keywords: Activities of Daily Living; Aged; Aged, 80 and over; Attitude to Health; Directive Counseling; Disability Evaluation; Exercise Therapy; Female; Follow-Up Studies; Humans; Male; Mobility Limitation; Motor Activity; Questionnaires; Retrospective Studies; Single-Blind Method; Time Factors

PY - 2009

Y1 - 2009

N2 - BACKGROUND: Physical activity counseling increases physical activity among older people, but its effectiveness on mobility, that is, maintaining the ability to move independently, is unknown. We studied the effect of physical activity counseling on mobility among older people and evaluated whether counseling-induced benefits persist after cessation of the intervention. METHODS: In a 2-year, single-blinded, randomized controlled study, 632 sedentary participants aged 75-81 years were randomly assigned into the intervention (n = 318) or control (n = 314) group. The intervention group received a single individualized physical activity counseling session with a supportive telephone contact every 4 months for 2 years. The outcome measures-perceived difficulty in advanced (walking 2 km) and basic (walking 0.5 km) mobility-were gathered semiannually during the intervention and the 1.5-year postintervention follow-up. RESULTS: The proportion of participants with difficulties in advanced mobility at the beginning and end of the intervention was 34% and 38%, respectively, in the intervention group. In the control group, the corresponding proportions were 32% and 45%. The treatment effect was significant at the 2-year follow-up (odds ratio [OR] 0.84, 95% confidence interval [CI]: 0.70-0.99; p = .04) and remained significant 1.5 years postintervention (OR 0.82, 95% CI: 0.68-0.99; p = .04). The effect on basic mobility postintervention was parallel but nonsignificant (OR 0.87, CI: 0.69-1.09; p = .22). CONCLUSIONS: Among older people, a single individualized physical activity counseling session with a supportive phone contact every 4 months for 2 years had a positive effect on mobility, an important factor for maintaining independence in the community in old age.

AB - BACKGROUND: Physical activity counseling increases physical activity among older people, but its effectiveness on mobility, that is, maintaining the ability to move independently, is unknown. We studied the effect of physical activity counseling on mobility among older people and evaluated whether counseling-induced benefits persist after cessation of the intervention. METHODS: In a 2-year, single-blinded, randomized controlled study, 632 sedentary participants aged 75-81 years were randomly assigned into the intervention (n = 318) or control (n = 314) group. The intervention group received a single individualized physical activity counseling session with a supportive telephone contact every 4 months for 2 years. The outcome measures-perceived difficulty in advanced (walking 2 km) and basic (walking 0.5 km) mobility-were gathered semiannually during the intervention and the 1.5-year postintervention follow-up. RESULTS: The proportion of participants with difficulties in advanced mobility at the beginning and end of the intervention was 34% and 38%, respectively, in the intervention group. In the control group, the corresponding proportions were 32% and 45%. The treatment effect was significant at the 2-year follow-up (odds ratio [OR] 0.84, 95% confidence interval [CI]: 0.70-0.99; p = .04) and remained significant 1.5 years postintervention (OR 0.82, 95% CI: 0.68-0.99; p = .04). The effect on basic mobility postintervention was parallel but nonsignificant (OR 0.87, CI: 0.69-1.09; p = .22). CONCLUSIONS: Among older people, a single individualized physical activity counseling session with a supportive phone contact every 4 months for 2 years had a positive effect on mobility, an important factor for maintaining independence in the community in old age.

U2 - 10.1093/gerona/gln029

DO - 10.1093/gerona/gln029

M3 - Journal article

C2 - 19164270

SN - 1079-5006

VL - 64

SP - 83

EP - 89

JO - Journals of Gerontology. Series A: Biological Sciences & Medical Sciences

JF - Journals of Gerontology. Series A: Biological Sciences & Medical Sciences

IS - 1

ER -

Long-term effect of physical activity counseling on mobility limitation among older people: a randomized controlled study

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